PARK CITY PODIATRY LLC
NPI 1437116266
Podiatrist in Salt Lake City, UT

Q: What is Park City Podiatry LLC's NPI number?

The NPI number for Park City Podiatry LLC is 1437116266. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Salt Lake City Podiatry.

Q: What is Park City Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since April 26, 2006

1220 E 3900 S STE 4D, SALT LAKE CITY, UT 84124(801) 269-9939(801) 269-9949 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2026, Aug 30, 2023 (2 updates tracked since 2023).

On this page

About Park City Podiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK CITY PODIATRY LLC (NPI 1437116266), doing business as Salt Lake City Podiatry, is a healthcare organization registered as a podiatrist in Salt Lake City, Utah and active in the NPI registry since April 2006. The organization lists Frederic Zachary Oddone, Owner, as its authorized official.

NPPES Registry Identity

NPI1437116266

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NamePARK CITY PODIATRY LLC

Location Address1220 E 3900 S STE 4DSalt Lake City, UT 84124-1383

Mailing AddressPo Box 404Riverton, UT 84065-0404 · (801) 619-2168 · Fax (877) 428-7520

Phone(801) 269-9939

Fax(801) 269-9949

Organization SubpartNo

Authorized OfficialFrederic Zachary OddoneOwner · (801) 269-9939

Enumeration DateApril 26, 2006

Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1437116266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

1220 E 3900 S STE 4D, Salt Lake City, UT 84124

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Other Names 1

Doing Business AsSalt Lake City Podiatry

Other Identifiers 2

Medicaid1881326981UT

Medicaid1245297688UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Park City Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Park City Podiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Frederic Oddone, DPM

Podiatry

NPI 1881326981

1220 E 3900 S STE 4D
Salt Lake City, UT 84124

(801) 269-9939

✔ PECOS✔ Accepts Medicare2.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park City Podiatry LLC's NPI number?

The NPI number for Park City Podiatry LLC is 1437116266. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Salt Lake City Podiatry.

Where is Park City Podiatry LLC located?

Park City Podiatry LLC is located at 1220 E 3900 S Ste 4D, Salt Lake City, UT 84124. The listed phone number is (801) 269-9939.

What is Park City Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Park City Podiatry LLC enrolled in Medicare?

Yes. Park City Podiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park City Podiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Park City Podiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Park City Podiatry LLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Park City Podiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Park City Podiatry LLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.